ATI RN
ATI RN Pharmacology Online Practice 2019 A Questions
Question 1 of 5
A patient™s blood pressure elevates to 270/150 mm Hg, and a hypertensive emergency is obvious.
Correct Answer: B
Rationale: In a patient with a hypertensive emergency, rapid and effective blood pressure reduction is crucial to prevent organ damage. The recommendation for IV administration of antihypertensive medications in this scenario is to titrate the medication to achieve a safe reduction in blood pressure, generally targeting a decrease in mean arterial pressure by no more than 25% within the first hour. The specific medication and infusion rate are dependent on the patient's clinical status and individual factors. Therefore, the maximum dose and duration of infusion must be tailored to the patient's response, with close monitoring by healthcare providers. Hence, determining a fixed time for the maximum dose of the drug to be infused is not appropriate in this critical care scenario.
Question 2 of 5
Which solution should the nurse administer with packed red blood cells?
Correct Answer: B
Rationale: When administering packed red blood cells, it is recommended to use 0.9% sodium chloride, also known as normal saline solution, as the preferred solution. Normal saline is isotonic and compatible with blood products, making it the most suitable solution for transfusion with packed red blood cells. It helps maintain the osmotic pressure and prevents hemolysis of red blood cells, ensuring the safe delivery of the blood product to the patient. Lactated Ringer's solution, D5W, and 0.45% sodium chloride are not ideal choices for administering packed red blood cells due to their electrolyte compositions and potential risks of adverse reactions.
Question 3 of 5
Antilipemic drug therapy is prescribed for a patient, and the nurse is providing instructions to the patient about the medication. Which instructions will the nurse include? (Select all that apply.)
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 4 of 5
What is the expected outcome for Valproate?
Correct Answer: D
Rationale: Valproate is an anticonvulsant medication commonly used to treat seizures, epilepsy, and bipolar disorder. It works by increasing levels of the inhibitory neurotransmitter gamma-aminobutyric acid (GABA) in the brain and also affects other neurotransmitters. Therefore, the expected outcome of taking Valproate is to decrease seizure activity by stabilizing abnormal electrical activity in the brain.
Question 5 of 5
A nurse is providing instructions to a client who is taking doxapram (Dopram). Which of the following statements made by the client needs further instructions?
Correct Answer: B
Rationale: The correct time to take doxapram (Dopram) is not at bedtime. Doxapram is a respiratory stimulant medication that is usually taken during waking hours to help improve breathing. Taking it at bedtime may interfere with regular sleep patterns and could potentially cause side effects like restlessness or insomnia. It is important for the client to take the medication as directed by their healthcare provider, typically before meals or as prescribed, and not at bedtime.